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1844 Pumice Pt - Zoning Permits & Plans 1 ForOleceUsa--i------� I I Clt� Of����Il ; Permit#: I f I 3830 Pilot Knob Road I I Eagan MN 55122 ��'��2��1.!�.s,"� �Dete Received__ � ' --------� Phone:(651)675-5685 Fax:(651)675-569d Emall: planninaf�clNofeaaan.com ���; � 3 ���� ZONING PERMIT APPLICATION ❑ Please identify improvements on a scaled site plan drawing that shows lot lines, structurgs and existing condltions. Propeity;:;; �,; site Address: '.,'�.Informa�'rcn,;�; . v �� �� Owner Name: I �,.� � �111.�, � � ..{_ � ` -. / .. ,.;;.�: ,.,.: Name: � I _ �'eC.-1 Gl 1`�'�'�5 Phone: �� � ��y" � 1�9� �� � .� �''�� , Address: 5�� � 4-C)- 1�� � City/St�te/Zip: �'��ll.� . COhtBCt.::�: � � ,:;:,'. .:... . : ...... ...�, � „• ,,,. ;; ;:,. � �.: . �. ..� ::.� :.. Applicant Signature: v Date: :,,.. .. , ,:., � , ,:��. .: . � ... ....,- :...:::�;�,:.. , . .... ... ......... ... .:.. . � •������• Emaii address: (,�.� . � ` � .... . � .� '' :''.' . 0 Retalning Wall<4 feet �Driveway O Other: � :i: .:,� �' •��� ,::,� O Patlo . D Sport Court ,•TypB',Of WOI'k:';' ❑Sidewalk O Fence , ' Descnption of work: ? ? .. .. : .. . .. .,,., .. . ,..�..•,,...�...:....:......:.��� . ..,; ..��.,.:.�, ...� ..., . ,.. ,. .. .....,. ;.... : .. . . .,. , , . . . . .. . , . , • �.�. : .., .• , ,:�:,;Planhing;�,.,,;;,:,� :Setba�ks;:,ha�d§uiface:.coverage;shoreland zoni�ig;bluff zone% ', �ack�';.'�� � � � � ' Approved 1 enie Date; � �¢ �5� StafF Notes: N��" '�Fi'$C�l��� Or tJ�6�'�' . - NC�L� �tM.�5l t�1 �%�'6iM���t vt� ��l� . Revlaed Plana • Approvod: Yes/No Date: Staff: . ...... ....... . . ,. .. . •.:: .. . �. : .. . , ::. .. , , . . .� • • . . ...:, . .• • ,., �'.Ehglneerlttg ;' ,Gradiiig;�,!dra'inage;;ufility eas�ments,weNands;�erasion;control,�impr.ovemenfs'.in the�Right-of-Way;etc: .� .:• Approved!Danied �. Date: Staff: Notes: � Rev�ed Plens Approved: Yos/No Date: „_ Staff: . , ,.. ,... . . Comments ... . , .:• ,::. �....,.,,. . . .� � ' ..., , .,., . ,. ,.. . . , . .. • , CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-000x for protection against undergrourid utility damage. Call 48 hours before you intend to Qlg to receive locates of underground utilities. www.aoaherstateonecall.ora . � G;16UIItll11g InSpecdonslPERMITAPPLICATIONS ProPosal �;�.�, 547 West County Road E °° c` 'A.�'.T. p � Shoreview, MN 55126 ��phalt&Concz�ete�'echnologies � phone 651-484-1696 . fa�c 651-484-8063 Asphalt Specialties Co. �8� Serving the Turin Cit�itf Metro.r,�rea sdnce,1979 � .aspk�altmn.CO � ' Licensed � Bonded• Insured ' Name: /G�'1��� �L�'�'� ���� Email: Date: ��y� Street: ���i!� ��s�,-� ,`c.p �r� C;ty� Z;p: c�-'���'�"�� ' ��/x Z- Cell Phone: �/S� ����Q7� Home Phone: Estimator�Date Sold: Excavation & Base ❑ OK TO USE BOBCAT OR TRUCK IN YARD-CUSTOMER IS ❑A�phalt sqft y��..• �`�� RESPONSIBLE FOR ANY YARD DAMADE AND RESTORATIOIv / � �� ❑Mili ❑Yes ❑ No � � ` �'Stake and string perimeter ❑ Replace as is f—I ❑Locate s rinkler heads "'� p O Drawing o�separate sheet � d --, O Replace water shut off cover in driveway Cost:$ • . . . . • • • • � • • ...�.--.-�— • ❑Sawcut ❑7ree stumps/Tree roots , � , . � ,�Excavate and haul away existin9 asphalt � !��,1, _ _ . . . Z. �Excavate and haul awa existin concrete�+`' ��� C O Excavate apron,asphait/concrete, Repiace with . . ,� , . . . . . �. ❑$epai�r�ajor block damage, if necessary additional charge � �` � � ,�U.__�,initial � . . . . . ". �f. . ❑ Install recycled crush rock base as needed,for a finished • • • • •���Gv� 1�P�� • � �z' •"'� I• � thickness of 4-6 inches, including existing base. _ . , , , , , . , , . . . . ❑Set grade and comp'act for proper dralnage D Install yard sign ' ' ' ' ' ' ' ' ' ' ' ' ' ' C; Asphalt . . . . . fCo`� . . . �. @�Touch up driveway if needed prior to asphalt installation � . � � ' ' � ' ' ' ' ' ' ' �'P� e MN Dot APPROVED D��''��"�'�- asphalt hot mix at . . . . ��. . . . . . • • ' • • � ��inches compacted to inches. Hand tamp edges. �_ ❑Customer to backfill or D A.C.T. $ � �Varranty for ,/P years, against settlement, edge breakoff • � � � • � • • � � � � � and break up(instructions on reverse side). , . . . . , . . . . . . f�. Concrete � • • � • • � � � • • � - � ❑Apron Cl Sidewalk . • . . . • • • � • / � � . ❑Steps �Patio ❑ Driveway , , , , ❑ Stoop ❑ Curb ❑ Other ' ' � � � ' O Garage Floor❑Jackhammer/Bobcat ❑ Door Height __ • • • • • • • • � • • • • O Concrete sqit . . . . . . . . . . . � . . . ❑ Revjew fvotings,addition�l footing not included in price � Install rebar 3 ft on ce�ter Cost:$ Intitial ' ' : � -'` ' ' � ' ' ' '• ' " ' ❑4500 psi concrete with fiber mesh,Color additional . • . • �� ! • • • - • ❑ Finish: ❑ Broom ❑ Smooth ❑ Stamp �(' .� , , , , . D Hand Tool joints O Sawcut�Other ` ��C �Apply,curing sealer � �/�Q � ' ' ' ' ' O Customer to backfill ar f�A.C.T$ `t .� • • • • • • • - • • . • • � Warranty for_____years(instructions on reverse sidej COMMITTED TO EXCELLENCE Ne Propose hereby to furnish materials and labor, ' :omplete with above specification,for t sum of PnCe$ 'LUS ANY REQUIRED P RMIT F D6POSIt$ ��� ` O ��r�Q /�1 C/ .� �J O v Ba pon completion$ • ;ignature All materials is guaranteed to be as specitied.AII work is to be comptetad in a work- manship-like m9nnAr accortling i0 st9ndard prectfces.Any 2lteratton or devlation from 5ignature above spec�ca6o�involving gztra oosts will be exeCuted only upon,wriken orders have read and agree with the ferms end conditions on the reveise Slde, and will qecome en extre cnarge over anq spove estimate.AI1 agrepmerrts eontingent upon strikes,act�dents or delay9 beyond our control.A.C.T.Aephait Specielties is :oupons can not becombined&mvst be presented at time of estimate fully coverea uy workmans'Compenaetton anC Gensral l.iabiliiy Inaurence � � ���� ������������^ 'i �� �t F.�� � Fo�Office Use ' II ,� �'�,-��,�. �� ��L���� 1,4g � ���Gu I�J � Permit�: ��� / ) � ' � .�i:,.,. � � 3830 Pilot Knob Roaa I I , Eagan MN 55122 `Date Received__________j Phone:(651)676-5685 ' Faz:(651)675-5684 Emall:alannina�cltvofeaaan.com ZONING PERMIT APPLICATION p Please identify improvements on a scaled site plan drawing that shows lot Ilnes, structures and existing conditions. . � Pro �e�. � ��� Site Address: ' p �'�Y��. �'. ,.Info,rniatl0n�.:��:•:, . �. . Owner Name: � �,, � �v�� � , � ., Name: TZ'�J � E'..L.l Q l�i'l't�S Pnone: (p�' `��7 � � l�7 b . ; '::'.":� ..,.,.::, ' Address: S lt�� 1�.� City/State/rp: �(u��� ��� ' ,,.:.CO'�tact;.:,..:` �':' Applicant Signature: Date: �� � ;.,'' . � •�'• Emali address: (,�� �t ` ��,.� . . .... . O Retaining Wall<4 feet �D�iveway , p Other: ' ., •,,. . :�• �. :�,:��; . ' ❑Patio ❑Spo�t Court ' 'TYRe Of.Work., ❑Sidewa�k ❑Fence � ' .• DescrlpUon ofwork: �Y1f�U�� d- � `4C.�'. r�U�n Q� (J r� . ,.. �.:, ,.,,.:,.::.:. .:..:..: ....:. . . . , .,... . ::, .,.,. ... . . .. , , , . . ,. , , ,. ., , . . .. ..�Plann�,hg�,;:,'��:.�;3etba�cks;;;harti;.�u�faGe,c�v�ra �,;shoreland zoning;bl� �io1�e/se;�b.ac , etc:`,, "'�,' . .�. . . . . . . .. . ,. .. : . :,,.. :..: . . : ,., , proved enled DaEe: � 2� �s Staff: ' Property lines to be veri�ed by contractor/owner. Revised Plans APP�ovod: Yea/No DAte: Staff: . .: •, ,,,, ,,, , ,,,,,, , •. , ....... ..... . � Englnaerin, �Gradin�;`.draina' e,'.u'ti�i � easements,'wetlands;�,rosiAn'.controi;improvertients in•the Right;of Way„etc: ° .. � . . 9,.: :. , .9 : . g. ' ty, �' � Approved/Denied . Date: g��. Notes: Revised Plans Approved: Yes/No Date: Staff: ,Gomm� ' ` ;,' ,:� � , ents. ,. �.. �. � � ; , .. � •• �.. . � . .. � � � �• . .. CALL BEFORE YOU D,IG. Call Gopher State One C�11 at(651)454-0002 for protection against unde►grou�d utility damage. Call 48 hours befo►e you intend to dig fo receive locates of underground utiliGes. www.00pherst8teoneca►(or9 G:1Bullaing InspectionslPERMITAPPUCA7fONS �-. � /.�� a � 1 _ ProPosa� � 547 Wesc Counry Road E �� `� A•i'•T• � � Sho�eview,MN 55126 Asphatt&Concre�e Technologies � p1�,one 651-484-1696.fau 651-4$4-8063 As halt S ecialties Co. � P P BBe. Serving the Twin Cities Me�ro 11rca si�ce X 979 WWwaS��1a�.CmA.00�1 � Licensed• Bonded• Insured �i�S� � �� Name: V~/�'ff�c �.�iLlS/'�� �� Email: Date: � Street:. ����/ J�CIl1'J1'�v ,�7�' , City,Zip: ��/E.� � Cell Phone:�s�����Home Phone: Estimator:E�[F�/'Date Sold: � Excavation � Base ❑ OK 70 USE 608CA7 OR TRUCK IN YARQ-CUSTpMER IS I ❑Asphaft sqft RESPONSIBLE FOR ANY YARD DAMAGE AND RESTORATION ❑Mi1117YesONo � � � � � ❑ Stake and st�ing perimeter ❑Replaoe as Is � O Locate sprinkler heads � ❑Drawing on separate sheet ❑ Replace water shut ofF cove�in driveway Cost:$ . . . O Sawcut ❑Tree stumps/Tree roots ! � o.� ❑ Excavate and haul away existing asphait ' � � ,�W � � � � � �h� � ❑ Excavate and haul away existing concrete • • • • �• � • • • • • • �t � • ❑ Excavate apron, asphalt!concrete, Replace with ' , y. . . ❑ Repair major block damage, if necessary additional charge � ..�e�,,� �prG,n. �Z $ , initial ' ' ' � • • � ❑ Install recycled crush rock base as needed,for a finished - • • � • • • • • . thickness of 4-6 inches, including existing base. ��� ❑Set grade and compact for prope�drainage � � � � � . ���. � � ' � O Instail yard sign � • • • • • • � • � • • � Asphalt . . . . . . . . . . . +f . . . O Touch up driveway if needed pr�or to asphalt instailation ' ' ' ' ' ' ' ' ' • • / r• • � ❑ Pave MN DotAPPROVED asphalt hot mix at • . . . . . . . . ! (,� . , inches com ad s ed to in p ches. Hand tamp ed e�. 9 �Customer to backfill or 0 A.C.T. $ ' � ' `' 1� ' ' ' ' ' ' ' ' ' ' ❑Warranty for years,against settlement, edge breakoff • • t,�Z • • • • • • ! • • � � � • and break up(insfructions on reverse side). . . '�_ , , . . . . . . . , Concrete � . . . . . . . . . . . �� . ❑Apron ❑Sidewalk . . . . . . . . . . . � . . ❑ Steps ❑ Petio ❑ Driveway �Stoop D Curb ❑Other 1 . (. ❑ Garage Floor�JackhammerlBcbcat � Doar Neight • • • • •'�`L • • . . \� . ❑ Concrete sq�t ❑ Review footings, addiYional footing not included in price � � � � � � � ❑ Install rebar 3 ft on center Cost:$ Intitial � � � � � � - � � • • • • • • • ❑4500 psi concrete with fiber mesh,Color additional D Finish:0 Broom ❑ Smooth ❑Stamp Property lines to be vsrified ❑Nand Tool joints p Sawcut� Other � ' ' ' ' ' ' ' by cantra�tadowner.' ' ' ❑Apply curing sealer • • � • • . . . • . . . , _ . . ❑ Customer to backfill or�A.C.T. $ ' �Warraniy for_years(instructlons on reverse side) � COMMITTED TO EXCELLENCE Wa Pro ase hereby to fumish materials arld labor, comple�e with above specification,'for the sum aF Price$ PW3 ANY REQUIRED PERMIT FEES DepOSit$ ���� ��.l��;^�, Balance uppn completion$ SIg�Btu�@ All materials is guaranteed to be as specified.All wodc is to be completed in a wortc- Signature manship-like manner aceordin9 to standard p�actices.Any aiteration or deviation from abova specfication Involving extra oosts wlll be exacufed only upan written orders I haVe read and agrea with fhe ferms and conditions on the revarse side. and wip become an exEra charge over and above estlmats.All agreements conGngent Coupons can not becombined&must be prasenfed at fime of estimate upon strikes,accidenfs o�delays bayond our conlrol.q,C.T.Asphalt Specla►Ges is fully covered by Workmans'CompenSatlon antl Gg�@�al lfabilify InSul'ence